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NPI 1831873157

NPI 1831873157 : INTRIGUING MINDS THERAPY SERVICES : ROSHARON, TX

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General NPI Number Information
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    NPI Number           |    1831873157
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    Entity Type          |    Organization 
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    Legal Business Name  |    INTRIGUING MINDS THERAPY SERVICES 
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Dates
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    Enumeration Date     |    06/15/2023
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    Last Update Date     |    11/25/2025
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Provider Practice Location Address
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    Address Line         |    3233 MERIDIANA PKWY STE 300 
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    City                 |    ROSHARON
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    State                |    TX
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    Zip                  |    77583-0257
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    Country              |    US
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    Telephone            |    832-390-1471
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3233 MERIDIANA PKWY STE 300 
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    City                 |    ROSHARON
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    State                |    TX
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    Zip                  |    77583-0257
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    Country              |    US
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    Telephone            |    832-390-1471
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     LADRICCA LEWIS WHITE 
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    Credential           |    LPC-A
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    Telephone            |    832-390-1471
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    
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